LONG ISLAND PREMIER PHYSICAL & AQUATIC THERAPY LLC
NPI 1639319122
Specialist in Lindenhurst, NY

Active since February 24, 2009
155 W SUNRISE HWY, LINDENHURST, NY 11757(631) 991-3311 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Long Island Premier Physical & Aquatic Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG ISLAND PREMIER PHYSICAL & AQUATIC THERAPY LLC (NPI 1639319122) is a healthcare organization registered as a specialist in Lindenhurst, New York and active in the NPI registry since February 2009. The organization lists Brandon Spahn, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1639319122
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLONG ISLAND PREMIER PHYSICAL & AQUATIC THERAPY LLC
Location Address155 W SUNRISE HWYLindenhurst, NY 11757-2435
Mailing Address155 W Sunrise HwyLindenhurst, NY 11757-2434 · (631) 991-3311
Organization SubpartNo
Authorized OfficialBrandon SpahnOwner/therapist · (631) 991-3311
Enumeration DateFebruary 24, 2009
Last NPPES UpdateApril 7, 2015
✔ NPI 1639319122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 029010-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
155 W SUNRISE HWY, Lindenhurst, NY 11757

Other Identifiers 1

OtherQ076C1NY · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Premier Physical & Aquatic Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Long Island Premier Physical & Aquatic Therapy LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1922142694
155 W SUNRISE HWY
Lindenhurst, NY 11757
(631) 991-3311
✔ Accepts Medicare1.0 mi
Physical Therapist in Private Practice
NPI 1447728191
379 OAKWOOD RD
Huntington Station, NY 11746
(631) 421-8700
9.9 mi
Physical Therapist in Private Practice
NPI 1154876399
125 W SHORE RD
Huntington, NY 11743
(631) 944-3134
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1013457944
70 MAPLE AVE
Rockville Centre, NY 11570
(516) 536-7388
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1295283356
70 MAPLE AVE
Rockville Centre, NY 11570
(516) 536-7388
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1336508050
22 W 48TH ST FL 15
New York, NY 10036
(212) 302-1112
✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Island Premier Physical & Aquatic Therapy LLC's NPI number?

The NPI number for Long Island Premier Physical & Aquatic Therapy LLC is 1639319122. It was assigned to this organization in the NPPES registry on February 24, 2009.

Where is Long Island Premier Physical & Aquatic Therapy LLC located?

Long Island Premier Physical & Aquatic Therapy LLC is located at 155 W Sunrise Hwy, Lindenhurst, NY 11757. The listed phone number is (631) 991-3311.

What is Long Island Premier Physical & Aquatic Therapy LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Long Island Premier Physical & Aquatic Therapy LLC enrolled in Medicare?

Yes. Long Island Premier Physical & Aquatic Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Premier Physical & Aquatic Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Long Island Premier Physical & Aquatic Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Long Island Premier Physical & Aquatic Therapy LLC was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.